facebook tracking Endovascular cardiac valve replacement and supplement procedures with major complications cost in Alabama: 10 hospitals compared (DRG 266)

Endovascular cardiac valve replacement and supplement procedures with major complications in Alabama

What 10 hospitals in Alabama charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266), from 2024 Medicare claims.

DRG 266 Inpatient 2024 Medicare data
Average charge $261,959 Hospital list price billed
Average payment $42,339 Medicare + patient + other payers
Medicare paid $39,836 Average per stay
State rank #3 of 42 1 = lowest average payment

Hospitals in Alabama billed an average of $261,959 for endovascular cardiac valve replacement and supplement procedures with major complications, about 6.2 times the average total payment of $42,339. That payment is 26% below the U.S. average of $57,249.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $42,339Billed $261,959

About 16¢ was paid for every $1 hospitals in Alabama billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Alabama:

Alabama hospitals: endovascular cardiac valve replacement and supplement procedures with major complications

Every Alabama hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Springhill Medical CenterMobile 85 $120,930 $39,007 $38,623
University of Alabama HospitalBirmingham 73 $169,848 $48,385 $45,156
Grandview Medical CenterBirmingham 47 $487,093 $43,119 $36,991
Huntsville HospitalHuntsville 37 $263,518 $41,656 $40,233
Thomas HospitalFairhope 32 $196,685 $42,841 $38,539
Mobile InfirmaryMobile 21 $210,214 $44,129 $42,846
Shelby Baptist Medical CenterAlabaster 18 $290,768 $33,599 $31,546
Princeton Baptist Medical CenterBirmingham 16 $355,531 $36,475 $34,100
Brookwood Medical CenterBirmingham 16 $911,946 $48,270 $47,249
Providence HospitalMobile 11 $155,812 $36,262 $33,883
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Lowest and highest payments in Alabama

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Shelby Baptist Medical CenterAlabaster, AL$33,599
Providence HospitalMobile, AL$36,262
Princeton Baptist Medical CenterBirmingham, AL$36,475
Springhill Medical CenterMobile, AL$39,007
Huntsville HospitalHuntsville, AL$41,656

Highest

University of Alabama HospitalBirmingham, AL$48,385
Brookwood Medical CenterBirmingham, AL$48,270
Mobile InfirmaryMobile, AL$44,129
Grandview Medical CenterBirmingham, AL$43,119
Thomas HospitalFairhope, AL$42,841

Endovascular cardiac valve replacement and supplement procedures with major complications in other states

Questions

How much does endovascular cardiac valve replacement and supplement procedures with major complications cost in Alabama?

In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266) at 10 hospitals in Alabama was billed at $261,959 on average, while the average total payment was $42,339, of which Medicare paid $39,836. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Alabama, average charges were 6.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.